Ian Joseph Kowalski, DO

Primary specialty

Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X

License

OS14568 Issued in FL

Practice address

6816 Griffin Rd
Davie, FL 33314-4341

Phone

(786) 864-0425

NPI assigned

Oct 13, 2016

Last updated

May 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Hospice/Palliative Care

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039
• Broward Health North Hospital, Deerfield Beach, FL, CCN 100086
• Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ikowalski217784@mhsdirect.net

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pain Plus

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Davie, FL
  • NPI 1427615335

  Single Specialty

  Medicare reassignment NPD Authorized official
• Ian J Kowalski, DO, PA

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Davie, FL
  • NPI 1851955876

  Single Specialty

  NPD Authorized official
• QMC LLC

  dba QMC Cares

  • Hospitalist Physician
  • Miami, FL
  • NPI 1003216391

  Single Specialty

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• North Broward Hospital District

  dba Broward Health Imperial Point

  • General Acute Care Hospital
  • Fort Lauderdale, FL
  • NPI 1265460232
  Care Compare affiliation
• North Broward Hospital District

  dba Broward Health Medical Center

  • General Acute Care Hospital
  • Fort Lauderdale, FL
  • NPI 1285662239
  Care Compare affiliation
• North Broward Hospital District

  dba Broward Health Lighthouse Point ER

  • General Acute Care Hospital
  • Pompano Beach, FL
  • NPI 1376571323
  Care Compare affiliation
• North Broward Hospital District

  dba Broward Health North

  • Emergency Care Clinic/Center
  • Lighthouse Point, FL
  • NPI 1720936792

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1476316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558828800000",
    "number": "1457801441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 SW 169TH TER",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333261530",
            "telephone_number": "954-300-7688"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6816 GRIFFIN RD",
            "city": "DAVIE",
            "state": "FL",
            "postal_code": "333144341",
            "telephone_number": "786-864-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOWALSKI",
        "first_name": "IAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-10-13",
        "last_updated": "2019-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "OS14568",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "FL",
            "license": "OS14568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexa Kopp, M.S., CCC-SLP
• David J Korn, MD
• Alexa Rose Kornitzer
• Cathelene Hanna Koshy
• Gabriella Elizabeth Kovalcik
• Norma M Kowalski, PSY.D
• Ashley Kranz, DPT
• David Lawrence Krasky, PSY.S.
• Lawrence None Krasne, DDS
• Hannah Kraus

• Hospice and Palliative Medicine (Internal Medicine) Physician in Davie, FL
• Providers in Davie, FL by specialty
• Hospice and Palliative Medicine (Internal Medicine) Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.